![]() She received that message on a second residential stay following a relapse when the insurer cut off her coverage a couple of days into her stay. It’s a dangerous message for eating disorder patients, according to Zaleski. When insurers deny coverage for 24-hour residential services or retract it through an ongoing utilization review process, the message to patients is clear: you’re not sick enough for treatment. “$5,000 may as well be $100,000 if you don’t have the means to cover it and you don’t have a safety net.” Get Sicker ![]() “For some people who need treatment, their deductible and coinsurance are unrealistic expenses,” said Eddington. ERC also goes to the mat with insurance for patients and offers financial assistance for underinsured patients in need.Įven with insurance coverage, out-of-pocket costs can be prohibitive. Some families pay out-of-pocket while they appeal the insurance denial, but many cannot afford to do that.Įddington said ERC works hard to avoid surprise insurance denials, working with families to develop contingency plans-such as partial hospitalization-if insurance denies the admission. “For a lot of these women, it takes so much energy for the whole family to get them to the point where they’re willing to accept help.” That leaves patients and families in a bad spot, according to attorney Lisa Kantor, a long-time advocate for insurance coverage of eating disorder treatment. If the facility determines that the patient needs 24-hour care, the insurer may still deny the admission. for adults and many patients must travel out of state to get care. But there are fewer than 1,500 residential beds across the U.S. ![]() Insurers won’t authorize residential treatment until the patient arrives at the facility for in-person evaluation. “Today, we almost never see it,” she saidĭespite improvements, insurance barriers remain. When ERC was founded in 2008, Eddington said nearly every patient faced health insurance exclusions for residential treatment or for eating disorders as a covered diagnosis. These regulations have improved insurance coverage, according to Cyndi Eddington, vice president of Revenue Cycle Management at Eating Recovery Center (ERC). The STRIPED report suggests the average residential facility stay is 31 days and costs more than $1,200 per day.ĭue to mental health parity laws and other consumer protections, coverage for eating disorder treatment facilities must be on par with skilled nursing facilities. Mirasol closed its doors in 2021, when the Covid 19 pandemic made it impossible to provide residential treatment while maintaining the social distancing that public health required.Īs a public service, our website will continue to provide information and resources for both healthcare providers and individuals seeking treatment based on the Mirasol method.Subacute residential treatment like Zaleski’s typically lasts longer. Therapy and nutrition education with a horse thrown in." These days, nearly all rehabilitation facilities describe themselves as "integrative", but Jeanne reveals the one thing In this video interview, Jeanne Rust reflects on the early history of Mirasol, and why she decided there was a need for treatment that offered more than just "cognitive behavioral Odds, Mirasol thrived, and for more than two decades, it set the standard for integrative treatment of anorexia, bulimia, binge eating disorder and co-occurring conditions. Rust launched the program with an initial investment of just $5000 and a short-term rental at another treatment facility. Interventions and part of the "gold standard" of treatment for anorexia, bulimia, binge eating and co-occurring conditions. ![]() Mirasol began as a 15-day program, incorporating alternative therapies that were regarded as quackery at the time, but today are well-established In 1999 Jeanne Rust launched a residential eating disorder treatment program based on her private practice and a successful website. Pioneering Effective Alternative Eating Disorder Treatment An Interview with Jeanne Rust, Mirasol Founder Your browser does not support the video tag.
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